Basic Information
| Provider Information | |||||||||
| NPI: | 1942793682 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DRUMMOND | ||||||||
| FirstName: | LENORA | ||||||||
| MiddleName: | HELENE | ||||||||
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| Credential: | CNIM, R.EPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 FLORAL VALE BLVD | ||||||||
| Address2: | |||||||||
| City: | YARDLEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190675524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158600100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 201 FLORAL VALE BLVD | ||||||||
| Address2: | |||||||||
| City: | YARDLEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190675524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158600100 | ||||||||
| FaxNumber: | 8003318873 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2018 | ||||||||
| LastUpdateDate: | 06/07/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 156F00000X | 2840 | PA | Y | Eye and Vision Services Providers | Technician/Technologist |
No ID Information.